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AGE CATEGORIES: 4-6| 7-9| 10-13|14-17| 18-29 |
Mrs (Married, Divorced, Widowed, Mother)

Contestant Details

Full Name(s)

Surname

Date of Birth

Age

Contact Number

Whatsapp Number

Instagram Handle

Facebook Handle

Email Address

Physical Address

City

Province

Age Categories

Parent Details

Contact Number

Whatsapp Number

Proof of Payment Details

Bank Name: Capitec Bank
Account No: 1053 3140 60
Account Name: Miss Polokwane pty (Ltd)
Account Type: Business Account
Reference: Contestant’s Name And Surname

Upload your Proof of Payment of R300 registration fee (non-refundable).

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